Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole M Moore, APN

Individual provider Registered Nurse · NPI 1295188803

Nicole M Moore, APN is a Nurse Practitioner in Rockford, Illinois. Qualified in 2016, 10 years ago. Practices with Saint Anthony Medical Center, a 43-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

3401 N Perryville Rd
Rockford, IL 61114-8011
Phone: (815) 971-2000
Fax: (815) 971-9570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209-014814 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041390820 (IL)

Record details

NPI number1295188803
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Anthony Medical Center — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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